Individual
DELANA COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 S CLARENCE NASH BLVD, WATONGA, OK 73772-4820
(580) 623-4991
Mailing address
1305 S CLARENCE NASH BLVD, WATONGA, OK 73772-4820
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R0136344
OK
Other
Enumeration date
06/03/2016
Last updated
04/08/2024
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